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Locum Inpatient Neurosurgery Physician Assistant Location: Billings, MontanaContract: Full-Time Locum | Ongoing Need | 1099 Contract

Royal Surgical Associates is seeking an experienced Physician Assistant or Nurse Practitioner with a strong neurosurgery background to support an active inpatient neurosurgical practice in Billings, MT. This full-scope locum role involves 100% inpatient floor coverage without OR responsibilities, providing post-operative care and neurocritical care management across multiple ICU units and the emergency department.

Job Highlights:

  • Full-time locum 1099 contract with ongoing assignment
  • Strictly 100% inpatient floor coverage—no OR coverage
  • Collaborate with a team of seven neurosurgeons in a busy hospital setting
  • Provide comprehensive inpatient care including neurocritical care in MICU, SICU, and ED
  • Work a 7 on / 7 off schedule with day shifts from 0630 to 1830
  • No call requirements

Compensation & Benefits:

  • Competitive hourly rate based on experience
  • 1099 contract structure for optimal earnings
  • Travel, lodging, and malpractice insurance fully covered
  • Expedited credentialing and onboarding support

Key Responsibilities:

  • Provide post-operative care and management for neurosurgical patients
  • Manage neurocritical care patients across MICU, SICU, and ED units
  • Support comprehensive inpatient rounds and patient management for spinal and cranial cases
  • Collaborate closely with neurosurgery team on patient care plans and transitions

Candidate Requirements:

  • Must have a strong neurosurgery background with experience in post-operative and neurocritical care
  • Experience managing neurosurgical patients in ICU-level acuity settings is essential
  • PA-C (NCCPA) or ACNP with active Montana license preferred
  • Ability to work independently in a fast-paced, high-acuity environment

•This role requires robust neurosurgical patient management skills

About Royal Surgical Associates:Royal Surgical Associates is a provider-led locum tenens firm specializing in cardiothoracic, neurosurgery, and CRNA staffing. Founded by experienced surgical PAs, RSA partners with top-tier hospitals to connect highly skilled providers with contracts tailored to their strengths and preferences.

Job Types: Contract, Part-time

Pay: $120.00 – $140.00 per hour

Work Location: In person

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